Can I Stop STD Testing After Two Years of No Sexual Activity?

Sexually Transmitted Infection (STI) Testing Questions

I would like to ask the doctor, two and a half years ago I had sexual intercourse with a colleague of the opposite sex, and I found out afterward that the condom broke.
Since then, I have undergone many tests, and my biggest concerns have been syphilis and HIV.
However, I have not had any sexual intercourse during these two and a half years and have been getting regular check-ups every two months.
Since I want to conceive, I would like to know if I can get pregnant.
Can I completely rule out these infections and stop the screenings?

ping, 40~49 year old female. Ask Date: 2020/03/18

Dr. Li Xinyi reply Urology

In principle, there is certainly no problem, but I cannot guarantee anything.
Even if you see a urologist, no doctor will be able to provide you with a guarantee, as we still do not fully understand your actual condition.

Reply Date: 2020/03/18

More Info

When it comes to sexually transmitted diseases (STDs), particularly HIV and syphilis, the concern for potential infection is valid, especially after an incident where a condom broke during intercourse. However, based on the information you've provided, it seems you have taken responsible steps to monitor your health.

Firstly, it's important to understand the concept of the "window period" for STD testing. The window period is the time after exposure during which an infection may not be detectable by standard tests. For HIV, the window period can vary depending on the type of test used. Most modern tests, particularly the fourth-generation tests (also known as combo tests), can reliably detect HIV within 18 to 45 days after exposure. If you have been testing negative consistently for HIV over the past two years and have had no sexual activity during this time, the likelihood of being infected is extremely low.

Regarding syphilis, the testing methods you mentioned (such as RPR and TPHA) are effective in detecting syphilis infections. If you have tested negative for syphilis multiple times over the past two years, it is reasonable to conclude that you are not infected, especially considering that syphilis typically presents with symptoms if left untreated.

Now, addressing your question about whether you can stop STD testing after two and a half years of no sexual activity: based on your consistent negative test results and the absence of sexual activity, it is generally safe to conclude that you are not infected with HIV or syphilis. However, if you plan to engage in sexual activity again, especially with new partners, it is advisable to resume regular testing as a precautionary measure.

As for your concern about conceiving a child, if both you and your partner are healthy and free from STDs, there should be no medical reason preventing you from trying to conceive. It is always a good idea to consult with a healthcare provider or a fertility specialist to discuss any specific concerns regarding fertility and pregnancy.

In summary, given your negative test results over the past two years and the absence of sexual activity, you can reasonably conclude that you are not infected with HIV or syphilis. You may choose to stop regular testing for these STDs, but if you plan to resume sexual activity, consider discussing a testing schedule with your healthcare provider. Additionally, if you have any lingering concerns or symptoms, or if you plan to conceive, consulting with a healthcare professional is always a prudent step.

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